Organization
IC OPPORTUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE BRADLEY RN (OWNER)
(615) 210-8411
Entity
Organization
Contact information
Practice address
521 5TH AVE S, NASHVILLE, TN 37203-4211
(615) 210-8411
Mailing address
PO BOX 50560, NASHVILLE, TN 37205-0560
(615) 210-8411
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
RN122966
TN
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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